Claims Program Manager

Job Title: Claims ManagerAt Molina Healthcare, we are seeking a highly skilled Claims Manager to join our team. As a Claims Manager, you will be responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation.Key Responsibilities:Monitor and control the backlog...

Job SummaryThis leadership role is responsible for overseeing the Claims business unit, ensuring effective loss and expense management, employee development, and succession planning. The ideal candidate will have a strong background in claims handling and operations, with a proven track record of managing teams and driving results.Key ResponsibilitiesManage...

Job SummaryThis leadership position is responsible for managing claims teams and ensuring effective loss and expense management, employee development, and succession planning. The ideal candidate will have a strong background in claims handling and operations, with experience in management and supervision.Key ResponsibilitiesManage claims teams to ensure...

About SCANSCAN Group is a not-for-profit organization dedicated to addressing the most pressing issues affecting older adults in the United States. As the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, SCAN serves over 270,000 members in California, Arizona, and Nevada. With a commitment to...

Job Title: Claims Audit ManagerAdvanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring the accuracy and compliance of claims processing in accordance with AMM policies and procedures.Key Responsibilities:Prepares and coordinates the completion of complex...

Job Summary:As a Warranty Claims Manager at DENSO International America, Inc., you will be responsible for overseeing the daily work of warranty claims administrators and analysts. Your primary goal will be to maintain, control, and improve the daily operations of the Warranty Claims department activities, processes, and systems.Key Responsibilities:Develop...

About the RoleSedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will play a critical role in analyzing and processing workers' compensation claims to ensure timely and accurate resolution.Key ResponsibilitiesAnalyze and process claims through well-developed action plans to achieve timely resolution.Negotiate...

Job Title: Claims Audit ManagerJob Summary:Advanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring that incoming claims are processed in accordance with policies, procedures, and guidelines, as outlined by Advanced Medical Manage and contractual agreements.Key...

Job Description**Role Overview**The Claims Examiner III is a critical position within the Advanced Medical Manage organization, playing a vital role in the Claims Department. This role requires collaboration with the Claims Team to meet productivity goals and ensure quality. The ideal candidate will possess claims knowledge, prioritization skills, and the...

Job Description:Job Summary:Cynet Systems is seeking a skilled Claims Associate to join our team. As a Claims Associate, you will be responsible for processing low-level workers compensation claims, determining compensability and benefits due, and ensuring accurate reserve management.Key Responsibilities:Process low-level workers compensation claims,...

Job SummaryWe are seeking a highly skilled Claims Audit Manager to join our team at Ultimate Staffing. As a Claims Audit Manager, you will be responsible for ensuring that claims are processed in accordance with company guidelines and contractual agreements, within set time limits, and according to provider contract rates.Key ResponsibilitiesPrepare and...

Job Title: Claims AssociateJob Summary:Cynet Systems is seeking a skilled Claims Associate to join our team. As a Claims Associate, you will be responsible for processing low-level workers compensation claims, determining compensability and benefits due, and administering action plans to resolution.Key Responsibilities:Process low-level workers compensation...

Property Field Claims Team MemberWe are seeking a skilled and customer-focused individual to join our Property Field Claims Team as a Property Field Claims Team Member. As a member of this team, you will play a vital role in providing an outstanding experience for our members by using your investigative, negotiation, and communication skills to help members...

Job Description**Role Overview**The Claims Examiner III is a critical position within the Advanced Medical Manage organization, playing a vital role in the Claims Department. This role requires collaboration with the Claims Team to meet productivity goals and ensure quality. The ideal candidate will possess claims knowledge, prioritization skills, and the...

About the RoleSedgwick is seeking a skilled Workers Compensation Claims Adjuster to join our team. As a key member of our claims team, you will be responsible for analyzing and processing complex claims to ensure timely and accurate resolution.Key ResponsibilitiesAnalyze and process claims through well-developed action plans to achieve timely...

Job Title: Claims Examiner - Workers CompensationMary Kraft HR is seeking an experienced Claims Examiner - Workers Compensation to analyze complex workers' compensation claims and determine benefits due. The ideal candidate will have expertise in workers' compensation principles, insurance laws, recoveries, claim durations, and cost containment practices.Key...

Job DescriptionRole OverviewThe Claims Examiner III is a critical role within the Advanced Medical Manage team, responsible for ensuring the quality and accuracy of claims processing. This position requires a strong analytical mind, excellent problem-solving skills, and the ability to work effectively in a fast-paced environment.Key ResponsibilitiesAudit...

Job Title: Medical Claims ExaminerThis is an exciting opportunity to join our team as a Medical Claims Examiner in the greater Long Beach/Los Angeles area. As a key member of our Claims department, you will play a crucial role in ensuring the accuracy and efficiency of our claims processing.Responsibilities:Audit claims processing quality and develop reports...

Job SummaryProcom is seeking a detail-oriented Claims Assistant to support the administration of workers' compensation claims. As a key member of our team, you will perform clerical and data entry tasks, ensuring accurate and timely documentation.Key ResponsibilitiesSet up new claims in our system and prepare paper files, verifying documentation...

Job Title: Medical Claims ExaminerWe are seeking a highly skilled Medical Claims Examiner to join our team at Ultimate Staffing. As a Medical Claims Examiner, you will be responsible for reviewing and processing medical claims to ensure accuracy and compliance with industry guidelines.Responsibilities:Review and process medical claims to ensure accuracy and...